APC 01689
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Fomepizole
Low
$5
Average
$13
Median
$6
High
$891
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 138 hospitals; the 90th percentile is 1.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $6 | $6 | $0 | 5% | — | $5 – $6 |
| 2 | Hca Florida West Hospital PENSACOLA, FL | $6 | $6 | $0 | 2% | — | $6 – $6 |
| 3 | Methodist Hospital Hill Country Fredericksburg, TX | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Hca Florida Gulf Coast Hospital PANAMA CITY, FL | $6 | $6 | — | — | — | $6 – $6 |
| 5 | National Rehabilitation Hospital Washington, WA | $7 | $7 | $0 | 2% | — | $6 – $7 |
| 6 | Hca Florida Lehigh Hospital LEHIGH ACRES, FL | $6 | $6 | $0 | 2% | — | $6 – $6 |
| 7 | Hca Florida Twin Cities Hospital NICEVILLE, FL | $6 | $6 | — | — | — | $6 – $6 |
| 8 | Northside Hospital, Inc. Lawrenceville, GA | $10 | $10 | $0 | 4% | — | $10 – $12 |
| 9 | Hca Florida Memorial Hospital JACKSONVILLE, FL | $6 | $6 | — | — | — | $6 – $6 |
| 10 | Reston Hospital Center VIENNA, VA | $6 | $6 | $0 | 2% | — | $6 – $6 |
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